"مذكرات الحرب. مقر قيادة الجيش، الهند. [...] قوة المشاة الهندية «د». المجلد ٣٧. الجزء I. (من ١ إلى ١٥ أغسطس ١٩١٧.)" [و‎‎١‎٠‎٢] (٤٨٨/٢٠٨)

Hospitals, Officers’ Hospitals and Convalescent Dep 6 t (men) all in hands of
Engineers still at rail camp (Hinaidi terminus) no arrangements made by the
railway camp for latrine provision or water purification.
A, D. M. 8., Amarah ~(21th May 1917) reports health excellent; drink
ing and heat stroke posts all opened ; 21,322 lbs. of frozen beef issued in excel
lent condition, and storage for it is now satisfactory.
D. A. D. M. 8., Shaikh Saad.—{let June 1917) report scurvy decreasing,
fresh vegetables increasing; fans and electric light in huts at Shaikh Saad in a
few days.
8. M. 0., Euphrates Front.— June 1917) complains of Nasiriyeh
City sanitation being bad ; and of the poor milk supply; disinfecting station
stores arriving ; heat stroke stations established. Cattle milking arrangements
in new Serai complete and cows milked under sanitary precautions.
XII. Inspections,—Besides numerous local inspections Abu Khamid Dialah
Line and Eaqubah were visited; also Sammarah, Beled gravel pits,. and Ad
vanced Base. D. A. D. M. S. (San.) is now undertaking a systematic inspec
tion of all the Divisional areas, and has commenced at Hinaidi.
Appendix I. —Besume of 1 year’s work at Central Laboratory, Amarah
(April 1st, 1916 to March 31st, 1917).
Appendix II.—Quarterly Summary of Bacteriological work of the Eorce.
Appendix 111. —Eesume of Bacteriological commentary from Central
Laboratory, Amarah, for May.
APPENDIX I.
Brief BestjmIs on one year’s work in Amarah Central Laboratory.
April tstf 1916—March 31st, 1917.
1 . The enteric group diseases were at their height from May to August.
2 . Infections of E. Faratyphosus A were much the commonest those of
E. Typhosus were scarce whilst E. Earatyphosus E infections were very rare.
3. Thus in 608 blood cultures from suspected cases E. Typhosus was isolat
ed 17 times (2*7 per cent.), E. Faratyphosus A 73 times (12 per cent.), and
E. Faratyphosus E 3 times (0 - 49 per cent,).
I. In 1799 serum agglutination tests :—
E. Typhosus. —Infection was diagnosed in 53 (2-9 per cent.).
E. Faratyphosus A. —Infection was diagnosed in 458 (25*4 per cent.).
E. Faratyphosus E, — „ „ „ „ 87 (4'2 „ „ ).
5. In six instances an organism resembling E. Faecalis Alkaligines was
found on culturing the blood of cases resembling enteric fever.
6 . 543 samples of stools suspected of being bacilliary dysentery were ex
amined out of which 288 were suitable for plating.
7. Out of these 288, 107 (or 37*1 per cent.) were positive and 183 (62*9
per cent.) negative to bacilli of the dysentery group.
Out of the 107 positive :—
61 (57 per cent.) yielded dysentery bacilli of the Shiga type.
46 (43 per cent.) „ „ „ „ „ Elexner type.
8 . From November to March 356 cases of acute dysentery among British
troops were examined for protozoa. Entamceha Histolytica were found in 30
cases (8 per cent.).
9. The same parasites were found in the pus of liver abscess in four out of
eight cases.
10. Cholera was prevalent from April to Octobera total of 370 stools
were sent for diagnosis. Vibrios were found to be numerous by microscopical
examination only, in 148 of these, and scarce or absent in 172.
II. The Vibrio was isolated in 88 cases. The remaining 113 were doubtful
or negative.
The strains isolated ^gave classical reactions except that they grew scantily
or antypically in peptone water whilst the indolnitroso-reaction was capricious.
12. Diphtheria has been fairly prevalent amongst British troops.